Church Membership Application
Please fill out this application, and one of our church pastors will contact you. Most of these areas are required, but if there is something that doesn't apply to you, just put "N/A."
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Name: *
Date of Birth: *
MM
/
DD
/
YYYY
Local area address: *
Phone Number: *
Email Address: *
Occupation: *
Previous Church Membership: *
What is your reason for leaving your previous Church
Marital Status: *
Anniversary (if married)
MM
/
DD
/
YYYY
Names and Ages of Children (if you have children)
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